Nepal – Urban health care gets boost

July 27, 2011 · 0 comments

July 22, 2011 – KATHMANDU: The Ministry of Health and Population (MoHP) plans to propose National Urban Health Policy in the cabinet by mid-August. The ministry has prepared the policy to provide primary health services to urban population with low economic standards.

Dr Bhim Tinkari, director, Primary Health Care Revitalisation Division under the ministry, said the move is in accordance with the Interim Constitution- 2007, which declared health as a fundamental right and that every citizen should have access to free basic health care as provisioned by the state.

We have completed meeting with various line ministries regarding the policy and are proposing the policy within one month, said Tinkari. He said the ministry is implementing the policy in coordination with the Ministry of Local Development.

“The policy will help resolve basic health problems in municipalities through effective implementation of the municipal health programme. It will ensure appropriate urban health care delivery system,” said Tinkari .

He added the facilities provided by the government in urban areas are not satisfactory.

It is estimated that about 25.2 per cent of the total urban population in Nepal are poor and the figure will reach 15 million by 2035, according to the research of UN-Habitat.

Tinkari further said the policy especially targets the poor living in slum areas. At present, the Health Ministry is providing free services with regard to leprosy, tuberculosis, polio vaccination, malaria etc. He added that the strategy follows the underlying principles of universal coverage, community participation and primary health care and that the policy is closely related to national and Millennium Development Goals in terms of health.

“Rapid urbanisation in towns and cities of Nepal is due to influx of large number of labourers, internally displaced people and those seeking better opportunities, leading to overcrowded and unregulated settlements,” said Tinkari.

Tinkari said the government is providing primary health care facilities to urban population. As per free health care policy, 40 drugs in district hospitals, 35 in primary health care centres and 25 at sub health post are provided free of cost.

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IRC – Sanitation and the urban poor

July 22, 2011 · 0 comments

In March 2011, IRC International Water and Sanitation Centre in collaboration with the Rwandan Ministry of Health convened over 60 practitioners and researchers from East Africa in a workshop that discussed the progress and challenges faced by the sector in the promotion of effective pro-poor urban sanitation and hygiene. Supported by the German International Cooperation (GIZ), the United Nations Children’s Fund (UNICEF), WaterAid and the Water Supply and Sanitation Collaborative Council (WSSCC), a total of 22 papers and photo essays on the topic of urban sanitation and hygiene were presented and discussed.

This booklet presents key recommendations that advance pro-poor urban sanitation and hygiene activities based on the six issues collectively identified as priority areas. This booklet is a useful reading material for practitioners and policy-makers involved in urban sanitation and hygiene promotion at different levels. While centred on experiences in East Africa, this booklet also provides important insights to similar programme work elsewhere.

South Africa – Harvesting nutrients that are flushed away

July 22, 2011 · 0 comments

Durban — It might seem unusual for a waste utility to be concerned with the goal of ending world hunger, but that’s part of the mission of the Water and Sanitation department in South Africa’s second largest city of Durban. AllAfrica’s Julie Frederikse spoke with Neil MacLeod, who heads this department for the municipality known by its Zulu name, eThekwini.

“Intensive agriculture requires fertilizers, whose main component is phosphorus, yet where does our phosphorus go after it goes into crops and is digested?” said eThekwini Municipality Water and Sanitation director Neil MacLeod. “Into a toilet. And then it goes into a treatment works, then into a river, and it gets washed into the sea.”

With an estimated 30 percent of household water used to flush Durban’s toilets – water which the city has paid to pump and purify – MacLeod sees flushing toilets as unsustainable technology. Like much of Africa, South Africa is water-scarce, with water restrictions expected soon for this city of 3.7 million, whose population is swelling by some 150,000 people per year.

MacLeod sees salvation in an alternative toilet that uses no water at all. Called the Urine Diverting (UD) toilet, it separates urine from faeces so that nutrients can be recovered and returned to the earth. Nitrogen, potassium and phosphorus – aka NPK 5:3:1 – is an excellent fertilizer for growing vegetables.

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Kenya – WASH in schools improves academic performance

July 22, 2011 · 0 comments

June 24, 2011 – Healthy schools improve national academic performance

PUPILS WHO STUDY IN SCHOOLS THAT, FOR INSTANCE, PROVIDE WATER AND SOAP ARE MORE LIKELY TO WASH HANDS THAN THOSE IN SCHOOLS THAT DO NOT HAVE THE FACILITIES

NAIROBI (Xinhua) — Schools that promote a healthy learning environment for pupils help to improve their academic performances, a team of researchers has said.

The researchers said such schools, among other things, ensure that the institutions have access to water and sanitation facilities and teachers engage pupils frequently on discussions about health.

This promotes teaching and learning thus increasing student’s chances of excelling in their academics.

The researchers from the Nairobi-based African Population and Health Research Center (APHRC) worked with 22 primary schools in two informal settlements in Nairobi, Kenya under an initiative dubbed Health Promoting Schools ( HPS ).

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Clean Fuel Saving Technology Adoption in Urban Ethiopia

July 22, 2011 · 0 comments

Clean Fuel Saving Technology Adoption in Urban Ethiopia, 2011.

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Abebe Damte, Steven F. Koch. University of Pretoria

The heavy dependence and inefficient utilization of biomass resources for energy have resulted in high depletion of the forest resources in Ethiopia, while the use of traditional cooking technology, one source of inefficient biomass resource use, has been linked to indoor air pollution and poor health. In response, the government and other institutions have pushed for the adoption of new cooking technologies.

This research examines the speed of adoption of some of these technologies – Mirt and Lakech cook stoves – in urban Ethiopia. The duration analysis suggests that adoption rates have been increasing over time, that income and wealth are important contributors to adoption, and that substitute technologies tend to hinder adoption. However, it was not possible to consider prices or perceptions related to either the technologies or biomass availability in the duration models, and, therefore, further research is needed in order to further inform policy with respect to household technology adoption decisions.

Microbiological performance and potential cost of boiling drinking water in urban Zambia.

June 16, 2011 · 0 comments

Environ Sci Technol. 2011 Jun 8.

Assessing the microbiological performance and potential cost of boiling drinking water in urban Zambia.

Psutka R, Peletz R, Michelo S, Kelly P, Clasen T.

Boiling is the most common method of disinfecting water in the home and the benchmark against which other point-of-use water treatment is measured. In a five-week study in peri-urban Zambia, we assessed the microbiological effectiveness and potential cost of boiling among 49 households without a water connection who reported “always” or “almost always” boiling their water before drinking it.

Source and household drinking water samples were compared weekly for thermotolerant coliforms (TTC), an indicator of fecal contamination. Demographics, costs and other information were collected through surveys and structured observations. Drinking water samples taken at the household (geometric mean 7.2 TTC/100ml, 95%CI 5.4-9.7) were actually worse in microbiological quality than source water (geometric mean 4.0 TTC/100ml, 95%CI 3.1-5.1) (p

Only 60% of drinking water samples were reported to have actually been boilded at the time of collection from the home, suggesting over-reporting and inconsistent compliance. However, these samples were of no higher microbiologial quality. Evidence suggests that water quality deteriorated after boiling due to lack of residual protection and unsafe storage and handling.

The potential cost of fuel or electricity for boiling was estimated at 5% and 7% of income, respectively. In this setting where microbiological water quality was relatively good at the source, safe-storage practices that minimize recontamination may be more effective in managing the risk of disease from drinking water at a fraction of the cost of boiling.

WSUP – Climate-proofing urban WASH

June 9, 2011 · 0 comments

Water and Sanitation for the Urban Poor (WSUP): Practice Note 4: Climate-proofing urban WASH: a rapid assessment method, 2011.

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Climate change is happening, and the urban poor are extremely vulnerable to its impacts. Demand for water and sanitation services in low-income urban areas is likely to increase, while flooding and water shortages may become more frequent.

This Practice Note outlines a rapid assessment method, developed for WSUP by Cranfield University, that can be used to plan the climate-proofing of a city’s water and sanitation services.

WSUP – GIS & mapping tools

June 9, 2011 · 0 comments

Water and Sanitation for thew Urban Poor (WSUP): Practice Note 3: GIS & mapping tools for water and sanitation infrastructure, 2011.

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Recently developed tools that enable web-based geographical representation of data have exciting applications in the design and monitoring of WASH systems. This note introduces three tools currently being used in the sector.

Sanitation MDG is badly off track, but a community-led approach could fix that

June 3, 2011 · 0 comments

Sanitation MDG is badly off track, but a community-led approach could fix that

Vast sums are wasted on programmes for free toilets, but the community-led total sanitation approach has helped millions avoid often fatal, faecally related infections.

Defecation mapping in progress in a village in the Democratic Republic of Congo, December 2010. This was set up by Tearfund and conducted by the CLTS team from Plan Kenya; 18 people attended this workshop, which 'triggered' action in six villages. Photograph: Philip Vincent Otieno/CLTS

Community-led total sanitation (CLTS) does not sound such a big deal, but it is revolutionary. We have so many “revolutions” in development that only last a year or two and then fade into history. But this one is different. In all the years I have worked in development this is as thrilling and transformative as anything I have been involved in. Let me explain.

Firstly, sanitation and scale: 2.6 billion people need improved sanitation and 1.1 billion defecate in the open. The millennium development goal (MDG) for sanitation is badly off track in most countries, which affects all the other MDGs.

Secondly, sanitation and hygiene matter much more than most people realise. Where they are lacking, the effects are horrendous. Faecally related infections are many. Everyone feels outrage because more than 2 million children are killed by diarrhoea each year. We hear about cholera outbreaks. But who hears about the guts of 1.5 billion people hosting greedy, parasitic, ascaris worms, about 740 million with hookworm voraciously devouring their blood, 200 million with debilitating schistosomiasis or up to 70 million with liver fluke? And what about dysentery, hepatitis, giardia, tapeworms, typhoid, polio, trachoma…?

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New Book – Urban Health: Global Perspectives

May 26, 2011 · 0 comments

Urban Health: Global Perspectives, 2011.

Order information: http://www.researchandmarkets.com/reportinfo.asp?report_id=1772268&t=d&cat_id=

Authors:  David Vlahov,  Jo Ivey Boufford, Clarence Pearson

Table of Contents

1. Urban Health in a Global Perspective (David Vlahov and Jo Ivey Boufford).
2. Globalization (Ted Schrecker and Ronald Labonté).
3. The Demographics of Urbanization in Poor Countries (Mark R. Montgomery).
4. Migration, Health Systems, and Urbanization (Ndioro Ndiaye, Manuel Carbhallo, and Rougui Ndiaye-Coïc).
5. Immigrant Health in Amsterdam, the Netherlands (Arnoud P. Verhoeff and Roel A. Coutinho).
6. City Case Studies: Global Climate Change and Cities (Tord Kjellstrom and Patricia Monge).
7. Age-Friendly New York City (Ruth Finkelstein and Julie Netherland).
8. Global Infectious Diseases and Urbanization (Thomas C. Quinn and John G. Bartlett).
9. City Case Studies: Confronting the New Epidemics in Our Cities (Stephen Leeder, Angela Beaton, Cathie Hull, Ruth Colagiuri, and Michael Ward).
10. Chronic Disease Care in Nairobi’s Urban Informal Settlements (Catherine Kyobutungi and Alex Ezeh).

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